Mechanical Ventilation in the Trauma Patient

Demet DEMİRKOLa

aİstanbul University İstanbul Faculty of Medicine, Department of Pediatric Intensive care, İstanbul, Türkiye

ABSTRACT
In this section, we explore distinctive ventilatory approaches for trauma patients. Injuries may directly affect the lungs due to trauma or indirectly result from injuries elsewhere in the body. Our discussion encompasses ventilation management considerations for patients with chest trauma and head trauma. The chapter delves into lung-protective strategies and introduces innovative ventilation management techniques.
Keywords: Brain injuries, traumatic; contusion; mechanical ventilation

Referanslar

  1. Robba C, Poole D, McNett M, Asehnoune K, Bӧsel J, Bruder N, et al. Mechanical ventilation in patients with acute brain injury: recommendations of the European Society of Intensive Care Medicine consensus. Intensive Care Med 2020;46:2397-410. [Crossref]  [PubMed]  [PMC]
  2. Hawryluk GWJ, Aguilera S, Buki A, Bulger E, Citero G, Cooper DJ, et al. A management algorithm for patients with intracranial pressure monitoring: the Seattle International Severe Traumatic Brain Injury Consensus Conference (SIBICC). Intensive Care Med. 2019;45(12):1783-94. [Crossref]  [PubMed]  [PMC]
  3. Carney N, Totten AM, O'Reilly C, Ullman JS, Hawryluk GW, Bell MJ, et al. Guidelines for the management of severe traumatic brain injury. Neurosurgery. 2017;80(1):6-15. [Crossref]  [PubMed]
  4. Robba C, Ball L, Nogas S, Battaglini D, Messina A, Brunetti I, et al. Effects of positive end-expiratory pressure on lung recruitment, respiratory mechanics, and intracranial pressure in mechanically ventilated brain-injured patients. Front Physiol. 2021;12:711273. [Crossref]  [PubMed]  [PMC]
  5. Cooper KR, Boswell PA, Choi SC. Safe use of PEEP in patients with severe head injury. J Neurosurg. 1985;63(4):552-5. [Crossref]  [PubMed]
  6. Mascia L, Zavala E, Bosma K, Pasero D, Decaroli D, Andrews P, et al. High tidal volume is associated with the development of acute lung injury after severe brain injury: an international observational study. Crit Care Med. 2007;35(8):1815-20. [Crossref]  [PubMed]
  7. Battisti-Charbonney A, Fisher J, Duffin J. The cerebrovascular response to carbon dioxide in humans. J Physiol. 2011;589(Pt 12):3039-48. [Crossref]  [PubMed]  [PMC]
  8. Smith AL, Neufeld GR, Ominsky AJ, Wollman H. Effect of arterial CO2 tension on cerebral blood flow, mean transit time, and vascular volume. J Appl Physiol. 1971;31(5):701-7. [Crossref]  [PubMed]
  9. Serpa Neto A, Cardoso SO, Manetta JA, Menetta JA, Pereira VGM, Espósito DC, et al. Association between use of lung-protective ventilation with lower tidal volumes and clinical outcomes among patients without acute respiratory distress syndrome: a meta-analysis. JAMA. 2012;308(16):1651-9. [Crossref]  [PubMed]
  10. Papazian L, Aubron C, Brochard L, Chiche JD, Combes A, Dreyfuss D, et al. Formal guidelines: management of acute respiratory distress syndrome. Ann Intensive Care. 2019;9:69. [Crossref]  [PubMed]  [PMC]
  11. Mascia L, Grasso S, Fiore T, Bruno F, Berardino M, Ducati A. Cerebro-pulmonary interactions during the application of low levels of positive end-expiratory pressure. Intensive Care Med. 2005;31(3):373-9. [Crossref]  [PubMed]
  12. Gupta N, Singh VK, Jafa S. Correlation of positive end-expiratory and intracranial pressure using the ultrasonographic-guided measurement of optic nerve sheath diameter in traumatic brain injury patients. Neurol India. 2021;69(6):1670-4. [Crossref]  [PubMed]
  13. McGuire G, Crossley D, Richards J, Wong D. Effects of varying levels of positive end-expiratory pressure on intracranial pressure and cerebral perfusion pressure. Crit Care Med. 1997;25(6):1059-62. [Crossref]  [PubMed]
  14. Robba C, Ball L, Battaglini D, Iannuzzi F, Brunetti I, Frachi P, et al. Effects of positive end-expiratory pressure on lung ultrasound patterns and their correlation with intracranial pressure in mechanically ventilated brain injured patients. Crit Care. 2022;26(1):31. [Crossref]  [PubMed]  [PMC]
  15. Robba C, Badenes R, Battaglini D, Ball L, Brunetti I, Jakoben JC, et al. Ventilatory settings in the initial 72 h and their association with outcome in out-of-hospital cardiac arrest patients: a preplanned secondary analysis of the targeted hypothermia versus targeted normothermia after out-of-hospital cardiac arrest (TTM2) trial. Intensive Care Med. 2022;48(8):1024-38. [Crossref]  [PubMed]  [PMC]
  16. Bugedo G, Retamal J, Bruhn A. Driving pressure: a marker of severity, a safety limit, or a goal for mechanical ventilation? Crit Care. 2017;21(1):199. [Crossref]  [PubMed]  [PMC]
  17. Amato MBP, Meade MO, Slutsky AS, Brochard L, Costa ELV, Schoenfeld DA, et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med. 2015;372(8):747-55. [Crossref]  [PubMed]
  18. Gattinoni L, Tonetti T, Cressoni M, et al. Ventilator-related causes of lung injury: the mechanical power. Intensive Care Med. 2016;42:1567-75. [Crossref]  [PubMed]
  19. Giosa L, Busana M, Pasticci I, Bonifeti M, Macri MM, Romitti F, et al. Mechanical power at a glance: a simple surrogate for volume-controlled ventilation. Intensive Care Med Exp. 2019;7(1):61. [Crossref]  [PubMed]  [PMC]
  20. Zhang Z, Zheng B, Liu N, Ge H, Hong Y. Mechanical power normalized to predicted body weight as a predictor of mortality in patients with acute respiratory distress syndrome. Intensive Care Med. 2019;45(6):856-64. [Crossref]  [PubMed]
  21. Serpa Neto A, Deliberato RO, Johnson AEW, et al. Mechanical power of ventilation is associated with mortality in critically ill patients: an analysis of patients in two observational cohorts. Intensive Care Med. 2018;44:1914-22. [Crossref]  [PubMed]
  22. Jiang X, Zhu Y, Zhen S, Wang L. Mechanical power of ventilation is associated with mortality in neurocritical patients: a cohort study. J Clin Monitor Comput. 2022;36(6):1621-8. [Crossref]  [PubMed]  [PMC]
  23. Nekludov M, Bellander BM, Mure M. Oxygenation and cerebral perfusion pressure improved in the prone position. Acta Anaesthesiol Scand. 2006;50(8):932-6. [Crossref]  [PubMed]
  24. Roth C, Ferbert A, Deinsberger W, Kleffmann J, Kästner S, Godau J, et al. Does prone positioning increase intracranial pressure? A retrospective analysis of patients with acute brain injury and acute respiratory failure. Neurocrit Care. 2014;21(2):186-9. [Crossref]  [PubMed]
  25. Oddo M, Crippa IA, Mehta S, et al. Optimizing sedation in patients with acute brain injury. Crit Care. 2016;20(1):128. [Crossref]  [PubMed]  [PMC]
  26. Roberts DJ, Hall RI, Kramer AH, Robertson HL, Gallagher CN, Zygun DA. Sedation for critically ill adults with severe traumatic brain injury: a systematic review of randomized controlled trials. Crit Care Med. 2011;39(12):2743-51. [Crossref]  [PubMed]
  27. Chanques G, Constantin JM, Devlin JW, Ely EW, Fraser GL, Gèlinas C, et al. Analgesia and sedation in patients with ARDS. Intensive Care Med. 2020;46(12):2342-56. [Crossref]  [PubMed]  [PMC]
  28. White PF, Schlobohm RM, Pitts LH, Lindauer JM. A randomized study of drugs for preventing increases in intracranial pressure during endotracheal suctioning. Anesthesiology. 1982;57(3):242-4. [Crossref]  [PubMed]
  29. Hsiang JK, Chesnut RM, Crisp CB, Klauber MR, Blunt BA, Marshall LF. Early, routine paralysis for intracranial pressure control in severe head injury: is it necessary? Crit Care Med. 1994;22(9):1471-6. [Crossref]  [PubMed]
  30. Alhazzani W, Belley-Cote E, Moller MH, Angus DC, Papazian L, Arabi YM, et al. Neuromuscular blockade in patients with ARDS: a rapid practice guideline. Intensive Care Med. 2020;46(11):1977-86. [Crossref]  [PubMed]  [PMC]
  31. Hess DR. Recruitment maneuvers and PEEP titration. Respir Care. 2015;60(11):1688-704. [Crossref]  [PubMed]
  32. Fan E, Del Sorbo L, Goligher EC, Hodgson CL, Munshi L, Walkey AJ, et al. An Official American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine Clinical practice guideline: mechanical ventilation in adult patients with acute respiratory distress syndrome. Am J Respir Crit Care Med. 2017;195(9):1253-63. [Crossref]  [PubMed]
  33. Bein T, Kuhr LP, Bele S, Ploner F, Keyl C, Taeger K. Lung recruitment maneuver in patients with cerebral injury: effects on intracranial pressure and cerebral metabolism. Intensive Care Med. 2002;28(5):554-8. [Crossref]  [PubMed]
  34. Krebs J, Tsagogiorgas C, Pelosi P, Rocco PRM, Hottenrott M, Sticht C, et al. Open lung approach with low tidal volume mechanical ventilation attenuates lung injury in rats with massive brain damage. Crit Care. 2014;18(2):R59. [Crossref]  [PubMed]  [PMC]
  35. Wolf S, Schurer L, Trost HA, Lumenta CB. The safety of the open lung approach in neurosurgical patients. Acta Neurochir Suppl. 2002;81:99-101. [Crossref]  [PubMed]
  36. Prabhakaran K, Halger D, Vitale D, Betancourt A, Petrore P, Marini CP. High-Frequency Oscillatory Ventilation (HFOV) as Primary Ventilator Strategy in the Management of Severe Acute Respiratory Distress Syndrome (ARDS) with Pneumothorax in the Setting of Trauma. Am Surg. 2017;83(3):e99-101. [Crossref]
  37. Soni KD, Aggarawal R, Gupta A, Sharma P. Is the use of high frequency oscillatory ventilator beneficial in managing severe chest injury with massive air leak? BMJ Case Rep. 2014;bcr2014204284. [Crossref]  [PubMed]  [PMC]